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[A multidisciplinary organizational Emergency Department model for trauma patients in hypovolemic shock]
Francesco Cancellieri1, Giorgio Gambale
1Unità Operativa di Rianimazione-118, Ospedale Maggiore, Bologna.
Unlabelled:
Hypovolemic shock in trauma patients causes high mortality because of exanguination, secondary brain damage, multiple organ disfunction. Good organization and operative protocols are vital to patients in need of a prompt and multidisciplinary treatment.
Patients And Methods:
We collected data about resuscitative and diagnostic process, severity scores and outcome of all trauma patients in hypovolemic shock admitted to the Ospedale Maggiore in Bologna (Italy) after the organization of an Internal Trauma System.
Results:
We obtained a reduction of both diagnostic and therapeutic times and mortality during the last 14 years.
Conclusions:
A valid internal organization can improve mortality of trauma patients without expenditure of extra resources.